Evidence map›Paper›PMID 26283567›Full record

Trial reportLeukemia2016

Clofarabine salvage therapy before allogeneic hematopoietic stem cell transplantation in patients with relapsed or refractory AML: results of the BRIDGE trial.

J M Middeke, R Herbst, S Parmentier, G Bug, M Hänel, G Stuhler, K Schäfer-Eckart, W Rösler, S Klein, W Bethge and 16 more

2 registry-linked trialsAbstract readClinical Trial, Phase IIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Leukemia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01295307 phase2completednot on this map

Clofarabine Salvage Therapy in Patients With Relapsed or Refractory Acute Myeloid Leukemia

TypeinterventionalSponsorTechnische Universität DresdenRan2011 to 2013Enrolled86ConditionsAcute Myeloid LeukemiaArmsClofarabine
NCT02784561 phase4unknown statusnot on this map

Safety and Efficacy Study of Busulfan/FLAG Conditioning Regimen in Patients With Relapsed/Refractory Acute Leukemia Undergoing Allogeneic Peripheral Blood Stem Cell Transplantation

TypeinterventionalSponsorChinese PLA General HospitalRan2016 to 2020Enrolled80ConditionsLeukemiaArmsBusulfan (Zhejiang Otsuka Pharmaceutical Co. Ltd), Cytarabine(Actavis Italy S.p.A), Fludarabine (Bayer), granulocyte colony-stimulating factor (KirinKunpeng), rabbit ATG(Sanofi/Genzyme)
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 37 citations in OpenAlex.

  1. Targeted Radiation Delivery before Haploidentical HCT for High-risk Leukemia or MDS Patients Yields Long-term Survivors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Trial
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. A retrospective comparison of salvage intensive chemotherapyTherapeutic advances in hematology · 2022
    Article
  15. Review
  16. Article
  17. Article
  18. Ribonucleotide Reductase Catalytic Subunit M1 (RRM1) as a Novel Therapeutic Target in Multiple Myeloma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors at 11 institutions in 1 country.

J M MiddekeMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany.
R HerbstMedizinische Klinik III, Klinikum Chemnitz, Chemnitz, Germany.
S ParmentierRems-Murr-Klinikum Winnenden, Winnenden, Germany.
G BugMedizinische Klinik II, Klinikum der Johann Wolfgang Goethe Universität Frankfurt am Main, Frankfurt, Germany.
M HänelMedizinische Klinik III, Klinikum Chemnitz, Chemnitz, Germany.
G StuhlerZentrum für Blutstammzell- und Knochenmarktransplantation, DKD Helios Klinik Wiesbaden, Wiesbaden, Germany.
K Schäfer-Eckart5. Medizinische Klinik, Städtisches Klinikum Nord, Nürnberg, Germany.
W RöslerMedizinische Klinik 5, Universitätsklinikum Erlangen, Erlangen, Germany.
S KleinIII. Medizinische Klinik, Universitätsklinikum Mannheim, Mannheim, Germany.
W BethgeAbteilung für Hämatologie, Onkologie, Immunologie, Rheumatologie und Pulmologie, Medizinische Universitätsklinik Tübingen, Tübingen, Germany.
U BitzKlinik für Hämatologie, Onkologie und Palliativmedizin, HELIOS Klinikum Bad Saarow, Bad Saarow, Germany.
B BüttnerKlinikapotheke, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany.
H KnothKlinikapotheke, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany.
N AlakelMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany.ORCID http://orcid.org/0000-0003-3669-5564
M SchaichRems-Murr-Klinikum Winnenden, Winnenden, Germany.
A MorgnerMedizinische Klinik III, Klinikum Chemnitz, Chemnitz, Germany.
M KramerMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany.
K SockelMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany.
M von BoninMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany.
F StölzelMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany.
U PlatzbeckerMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany.
C RölligMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany.
C ThiedeMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany.
G EhningerMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany.
M BornhäuserMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany.
J ScheteligMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany.
University Hospital Carl Gustav Carus · DEKlinikum Chemnitz · DERems-Murr-Klinikum · DEGerman Cancer Research Center · DEGerman National Bone Marrow Donor Registry · DEGoethe University Frankfurt · DEHeidelberg University · DEHelios Hospital Bad Saarow · DENuremberg Hospital · DEUniversitätsklinikum Erlangen · DEUniversitätsklinikum Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients with relapsed or refractory (r/r) acute myeloid leukemia (AML), long-term disease control can only be achieved by allogeneic hematopoietic stem cell transplantation (HSCT). We studied the safety and efficacy of clofarabine-based salvage therapy. The study was designed as phase II, multicenter, intent-to-transplant (ITT) study. A total of 84 patients with r/r AML were enrolled. All patients received at least one cycle of CLARA (clofarabine 30 mg/m(2) and cytarabine 1 g/m(2), days 1-5). Chemo-responsive patients with a donor received HSCT in aplasia after first CLARA. Generally, HSCT was performed as soon as possible. The conditioning regimen consisted of clofarabine (4 × 30 mg/m(2)) and melphalan (140 mg/m(2)). The median patient age was 61 years (range 40-75). On day 15 after start of CLARA, 26% of patients were in a morphologically leukemia-free state and 79% exposed a reduction in bone marrow blasts. Overall, 67% of the patients received HSCT within the trial. The primary end point, defined as complete remission after HSCT, was achieved by 60% of the patients. According to the ITT, overall survival at 2 years was 43% (95% confidence interval (CI), 32-54%). The 2-year disease-free survival for transplanted patients was 52% (95% CI, 40-69%). Clofarabine-based salvage therapy combined with allogeneic HSCT in aplasia shows promising results in patients with r/r AML.

Indexed as

Hematopoietic Stem Cell TransplantationSalvage TherapyAdenine NucleotidesAdultAgedAntimetabolites, AntineoplasticArabinonucleosidesClofarabineFemaleGraft vs Host DiseaseHumansLeukemia, Myeloid, AcuteMaleMiddle AgedProspective StudiesRecurrenceAdenine NucleotidesAntimetabolites, AntineoplasticArabinonucleosidesClofarabine

Identifiers

PMID26283567
OpenAlexW2207795634

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.